A viral MRI scan shared by Dr. Kami Parsa, an oculoplastic surgeon in Beverly Hills, California, has drawn widespread attention for demonstrating how injected hyaluronic acid fillers in a patient’s face had migrated and accumulated over time. This revelation has left thousands of viewers stunned and questioning the permanence of their own fillers.

Dermal fillers, according to the American Board of Cosmetic Surgery, are gel-like substances injected under the skin to enhance facial features, smooth wrinkles, and restore lost volume. Hyaluronic acid-based fillers, the most common type, are typically expected to last between six and eighteen months. However, the MRI scan suggests otherwise. The patient, a 33-year-old woman, had received more than 12 milliliters of hyaluronic acid filler over six years. The MRI scan, which has garnered over 7.2 million views, showed her face as a grey image with green dots highlighting the remaining filler in areas like her cheeks and lips. Dr. Parsa revealed that a volumetric study showed the total amount of filler in her face was 28 milliliters—more than double the amount injected. Dr. Parsa explained that hyaluronic acid fillers are hydrophilic, meaning they attract and retain water, which likely contributes to the increased volume over time. This finding has raised concerns about the long-term effects of fillers, with some viewers worried about potential impacts on the lymphatic system.

The video sparked a significant reaction on social media. One TikTok user commented, “I just don’t see how this wouldn’t completely destroy the lymphatic system,” while another noted, “FINALLY THIS IS BEING TALKED ABOUT. The mass production and insane usage without WARNING. I need to know more. What about Botox?” Dr. Parsa responded, “Botox has a long history and is safe if performed correctly.” Many viewers shared their own experiences with fillers. One person admitted, “I keep telling people I only got my lips done 3 times 0.5ml each time and it’s been 5 years since then and my lips are still the same because it DOES NOT DISSOLVE.” Another mentioned, “I got chin filler ONCE a decade ago, never needed a touch-up since. It’s stayed the same this whole time.” While fillers have become increasingly popular, the MRI scan raises important questions about their long-term effects and the accuracy of claims regarding their longevity. This incident highlights the need for further research and transparency in the cosmetic industry.